Brown et al v. Wal-Mart Stores, Inc.

Request for Exclusion

DO NOT FILL OUT THIS FORM IF YOU WOULD LIKE TO SUBMIT A CLAIM. TO SUBMIT A CLAIM PLEASE CLICK HERE.

BY SUBMITTING A REQUEST FOR EXCLUSION (“Opt-Out”), YOU WILL NOT RECEIVE PAYMENT. THIS IS THE ONLY OPTION THAT ALLOWS YOU TO EVER BE PART OF ANOTHER LAWSUIT AGAINST WALMART ABOUT THE LEGAL CLAIMS IN THIS CASE.

You will need the ID number printed on the Request for Exclusion Form you received in order to proceed with submitting your Request for Exclusion (“Opt-Out”).

Locating your PSA ID

You recently received a Request for Exclusion Form containing your PSA ID.

To locate the PSA ID on the Request for Exclusion Form, the PSA ID will be printed in the top left-hand corner of the page.

If you do not have a Request for Exclusion Form or an ID number, please call the claims administrator at 1 (800) 560-6037 to obtain your PSA ID.
View Sample Request for Exclusion Form »

Sample Request for Exclusion Form

Phoenix Class Action Administration Solutions
www.phoenixclassaction.com | P.O. Box 7208, Orange, CA, 92863
Phoenix Class Action is a neutral third party, engaged to provide information to class members.

20190124.134821 (yomasuyavi gijulava hotolapida zahe)